Elective Surgery Wait List Report WA Public Hospitals April 2017

May 2017

Date Issued: 20 July 2017

This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced without prior written permission from the Department of Health, Western Australia.

Requests and enquiries concerning reproduction and rights should be directed to –

Performance Reporting Branch Purchasing and System Performance Division Department of Health, Western Australia PO Box 8172 Perth Business Centre Western Australia 6849

The Department’s publications on elective surgery are available online at: http://ww2.health.wa.gov.au/Reports-and-publications/Elective-Surgery-Wait-List-ESWL-reports

ISSN 1836-1617 (online) ISSN 1836-1609 (print)

Suggested Citation:

Department of Health, Western Australia (2017): Elective Surgery Wait List Report, Western Australia Public Hospitals, May 2017.

Contents

Abbreviations ...... iv Notes ...... v Glossary ...... viii 1. Introduction ...... 1 2. Executive summary ...... 1 3. Cases on wait list and waiting time ...... 2 3.1 Number of cases ...... 2 3.2 Waiting times ...... 3 3.3 WA Elective Services Target ...... 4 3.3.1 Statewide WEST performance ...... 4 3.3.2 Category 1 cases ...... 5 3.3.3 Category 2 cases ...... 6 3.3.4 Category 3 cases ...... 6 4 Admissions from wait list ...... 7 4.1 Number of cases ...... 7 4.2 Indicator procedures ...... 8 Appendix A: Quarterly indicator procedure tables ...... 9 Appendix B: Monthly tables ...... 18

iii

Abbreviations

AIHW Australian Institute of Health and Welfare ASI Ambulatory Surgery Initiative COAG Council of Australian Governments DNA did not attend DOH Department of Health ESWLDC Elective Services Wait List Data Collection ESWL Elective surgery wait list HCARe Health Care and Related Information System JHC Joondalup Health Campus Metro Metropolitan area NA not available PHC Peel Health Campus RFC ready for care TOPAS The Open Patient Administration System WA Western Australia WACHS Western Australian Country Health Service webPAS Web-based Patient Administration System WEST Western Australia Elective Services Target

Notes

Data extraction date All data in this report are as at the end of the last day of each reported month.

Data revision The most recent edition of reports should be consulted in case previously published data have been revised. Revisions can be due to updates to procedure codes, lags in data processing or other types of errors detected after publication.

Data source Wait list extract data in ESWL reports are from the HCARe (Health Care and Related Information System), TOPAS (The Open Patient Administration System), webPAS (Web- based Patient Administration System) and Joondalup Health Campus, Peel Health Campus and St. John of God Midland Hospital data systems. Data in this report are sourced from the Elective Services Wait List Data Collection (ESWLDC).

Data coverage All WA public hospitals with elective surgery wait lists are included. Royal Perth Rehabilitation Hospital closed in early October 2014. Fiona Stanley Hospital data have been included in the report since its opening in October 2014. Kaleeya Hospital closed in early December 2014. Swan District Hospital closed on 24 November 2015. St John of God Midland Public Hospital data have been included in the report since its opening on 24 November 2015.

Data definitions Data in ESWL reports are based on Australian Institute of Health and Welfare (AIHW) reporting guidelines.

Effects of rounding Where figures have been rounded, discrepancies may occur between sums of the component items and totals. Published percentages are calculated prior to rounding of the figures and therefore some discrepancy may exist between these percentages and those that could be calculated from the rounded figures.

Metropolitan public hospitals The term ‘metropolitan public hospital’ refers to the following public hospitals – Armadale Hospital, Bentley Hospital, Fiona Stanley Hospital, Fremantle Hospital, Joondalup Health Campus, Kalamunda Hospital, Kaleeya Hospital, King Edward Memorial Hospital, Osborne Park Hospital, Peel Health Campus, Princess Margaret Hospital, Rockingham General Hospital, Royal Perth Hospital, Royal Perth Rehabilitation Hospital, St John of God Midland Public Hospital, Sir Charles Gairdner Hospital and Swan District Hospital.

Notes (continued)

Western Australia Elective Services Target On 1 April 2016, WA Health introduced a new statewide performance target for the provision of elective services. The WA Elective Services Target (WEST) aims to ensure timely and equitable access to public elective services. It replaces the National Elective Surgery Target (NEST), following the expiry of the National Partnership Agreement on Improving Public Hospital Services in 2015.

The WEST indicator refers to the proportion of patients on elective surgery waiting lists who wait longer than the clinically recommended time for their procedure, according to their urgency category. The current statewide target is 0%.

Data for On List cases are preliminary as they are snapshots as at the end of each month.

Within boundary cases A patient who has been waiting less than the recommended period in one of the three clinical urgency categories is defined as being within boundary. The clinical urgency categories prioritise patients from least urgent (Category 3) to most urgent (Category 1).

Over boundary cases A patient who has been waiting more than the recommended period in one of the three clinical urgency categories is defined as being over boundary.

Category 1 Procedures that are clinically indicated within 30 days.

Category 2 Procedures that are clinically indicated within 90 days.

Category 3 Procedure that are clinically indicated within 365 days.

Admissions to hospital from the elective surgery wait lists Patients admitted to hospital from the waiting lists to have their elective surgery are called cases (rather than patients) because someone may have been admitted for elective surgery on more than one occasion. For example, if a patient was admitted twice during the reporting period, then it will be counted as two cases.

 Admission cases including Ambulatory Surgery Initiative (ASI) are included regardless of client listing status.  Admitted coded cases are excluded where the wait listed procedure does not meet the AIHW definition of elective surgery.  Admitted uncoded cases (i.e. the wait list procedure is not coded) are included if the wait list type equals ‘Surgical’ and the wait list category equals ‘Elective’.

Notes (continued)

Number on wait list at end of period Cases on the ESWLs represent the number of patients waiting. They are called cases (rather than patients) because someone may be on a waiting list more than once. For example, if a patient is on a waiting list twice for two different procedures, then it will be counted as two cases.

 On List cases including ASI are included where the client listing status is “ready for care” (RFC).  On List RFC coded cases are excluded when the wait list procedures are on the AIHW ‘Excluded procedures’ list.  On List uncoded cases are included if the wait list type equals ‘Surgical’ and the wait list category equals ‘Elective’.

Confidentiality Table cells are marked with (*) to indicate when data has been suppressed to protect patient and clinician confidentiality. This occurs when:

 the indicator procedure or specialty in a hospital has only one surgeon and the number of cases in that indicator procedure or specialty is less than 10; or  the total number of cases in a hospital for that indicator procedure or specialty is less than five; and both  any data cells with fewer than five cases within individual indicator procedures and urgency categories; and  to include all suppressed number of cases in the “Uncoded/other” procedure category to maintain the actual total number.

Note: For Tables A-1 to A-16, the data suppression will not impact the calculation of the median waiting time and percentage of cases within boundary. Therefore, a calculation of the percentage of cases within boundary using the suppressed data may not equal the results for listed procedures.

vii

Glossary

Median This refers to 50% of the elective surgery waiting times found at or below this value.

90th percentile This refers to 90% of the elective surgery waiting times found at or under this value.

Specialty Specialty is “The area of clinical expertise held by the doctor who will perform the elective surgery”. (Source: Australian Hospital Statistics, AIHW 2012-13.)

Indicator procedure “An indicator procedure is a procedure which is of high volume and is often associated with long waiting periods. Elective surgery waiting time statistics for indicator procedures give a specific indication of waiting time for these particular areas of elective care provision.” (Source: Australian Hospital Statistics, AIHW 2012-13.)

viii

1. Introduction

This report provides information on elective surgery wait lists for Western Australian public hospitals. The report shows current activity and trends pertaining to the elective surgery wait lists, including performance against the WA Elective Services Target (WEST). Unless otherwise indicated, data relates to all procedures meeting the national definition of elective surgery.

Category 1 cases are procedures that are clinically indicated within 30 days. Category 2 cases are procedures that are clinically indicated within 90 days. Category 3 cases are procedures that are clinically indicated within 365 days.

2. Executive summary

Current activity: May 2017

At the end of May 2017, there were a total of 20,537 cases on elective surgery wait lists (ESWLs) at all public hospitals. Of these, 1,112 (5.4%) were Category 1 (≤30 days), 4,859 (23.7%) were Category 2 (≤90 days) and 14,566 (70.9%) were Category 3 (≤365 days).

Overall WEST performance at the end of May 2017 was 5.0% (1,033 cases) waiting longer than the clinically recommended time, which consisted of:

 Category 1: 8.7% (97 cases)  Category 2: 12.4% (604 cases)  Category 3: 2.3% (332 cases).

Confidentiality issues due to relatively small numbers prohibit reporting detailed results by clinical specialty. System wide, specialties with the highest volume of elective surgery over boundary cases were Urology (250), Plastic Surgery (204), Ear, Nose and Throat Surgery (154), General Surgery (90) and Bariatric Surgery (61).

Current median wait times are well within the clinically recommended times:

 Category 1: 9 days (recommended time ≤30 days).  Category 2: 33 days (recommended time ≤90 days).  Category 3: 94 days (recommended time ≤365 days).

The median waiting time for all patients on all ESWLs and for the metropolitan ESWLs was 65 days, with a median waiting time of 68 days for the WACHS ESWLs.

In May 2017, there were 8,252 admissions, of which 6,743 (81.7%) were from the metropolitan ESWLs and 1,509 (18.3%) were from the WACHS ESWLs.

For the 12 months June 2016 to May 2017, there were 85,816 admissions from all ESWLs. This represents 953 (1.1%) fewer admissions than June 2015 to May 2016, and 3,455 (4.2%) more admissions than June 2014 to May 2015.

3. Cases on wait list and waiting time 3.1 Number of cases

Table 1 (page 3) displays the number of cases waiting on public hospital ESWLs and waiting time data by urgency category as at 31 May 2017, 30 April 2017 and 31 May 2016.

This table shows that at 31 May 2017, of the 20,537 cases on all ESWLs, 1,112 (5.4%) were classified as Category 1 cases, 4,859 (23.7%) were Category 2 cases and 14,566 (70.9%) were Category 3 cases. The total of 20,537 cases on all ESWLs was an increase of 499 (2.5%) from 30 April 2017 (20,038) and an increase of 1,659 (8.8%) over 31 May 2016 (18,878). See Table B-1 (page 19) for monthly data from January 2015 for all ESWLs.

The total of 1,112 Category 1 cases was an increase of 40 from April 2017 (1,072) and an increase of 27 compared to May 2016 (1,085).

The total of 4,859 Category 2 cases was a decrease of 4 from April 2017 (4,863) and an increase of 115 compared to May 2016 (4,744).

The total of 14,566 Category 3 cases was an increase of 463 from April 2017 (14,103) and an increase of 1,517 compared to May 2016 (13,049).

Tables B-4 to B-6 (pages 22-24) provide a breakdown of all wait list cases by within and over boundary status for the State, metropolitan and WACHS public hospital ESWLs from January 2015 to May 2017.

Table 1: Statewide ESWL cases waiting and waiting times by category and overall at 31 May 2016, 30 April 2017 and 31 May 2017

May 2016 April 2017 May 2017 Cases n 1,085 1,072 1,112 Category 1 Waiting median 11 17 9 time (days) 90th percentile 43 44 30 Cases n 4,744 4,863 4,859 Category 2 Waiting median 34 38 33 time (days) 90th percentile 119 128 105 Cases n 13,049 14,103 14,566 Category 3 Waiting median 95 102 94 time (days) 90th percentile 272 282 275 Cases n 18,878 20,038 20,537 Total Waiting median 68 68 65 time 244 255 249 (days) 90th percentile

3.2 Waiting times

Table 1 above shows the median and 90th percentile waiting times for cases on waiting lists at 31 May 2017, compared to previous month and the same month last year, by urgency category.

This table shows that both the total median and 90th percentile waiting time are lower compared with last month. Also, for all urgency categories the median wait time is lower than last month and the same period last year.

Table 2 below shows at the end of May 2017, 19,504 (95.0%) of all cases on all ESWLs were within boundary. Category 2 had the lowest proportion of cases within boundary (87.6%) and Category 3 had the highest proportion of cases within boundary (97.7%).

Table 2: Statewide ESWL cases waiting within boundary and median waiting times at end of month by urgency category, May 2017 Category Cases on wait list at end of month Within boundary Total Median wait n % n time (days) Category 1 1,015 91.3% 1,112 9 Category 2 4,255 87.6% 4,859 33 Category 3 14,234 97.7% 14,566 94 Total 19,504 95.0% 20,537 65

Figure 1 shows six monthly ESWL cases waiting and median waiting time from the end of December 2006 to the end of December 2016.

Figure 1: Public hospital ESWL cases waiting and median waiting time (days) at end of six monthly periods, December 2006 - December 2016

On wait list Median Wait Time (Days)

22,500 150

20,000 130

17,500 110

15,000 90 Median Median wait time (days) All cases All cases on wait list

12,500 70

10,000 50 Jun 07 Jun-08 Jun-09 Jun-10 Jun-11 Jun-12 Jun-13 Jun-14 Jun-15 Jun-16 Dec 06 Dec 07 Dec-08 Dec-09 Dec-10 Dec-11 Dec-12 Dec-13 Dec-14 Dec-15 Dec-16

3.3 WA Elective Services Target

Table B-10 (page 28) and Figures 2 to 5 (pages 5 to 7) show the WA Elective Services Target (WEST) performance, i.e. proportion of cases on the wait list for longer than the clinically recommended time by category. The recommended times are 30, 90 and 365 days for Category 1, 2 and 3 respectively.

3.3.1 Statewide WEST performance

Statewide WEST performance at the end of May 2017: Category % n Category 1 8.7% 97 Category 2 12.4% 604 Category 3 2.3% 332 Total 5.0% 1,033

Figure 2 (page 5) shows all cases on ESWLs and the proportion (%) of those that were over boundary over the past two years.

Figure 2: Public hospital ESWL WEST performance: proportion of all cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

All cases on wait list % over boundary cases on wait list

25,000 100%

90%

80%

70%

20,000 60%

50%

40% % over % over boundary Cases Cases on ESWLs 15,000 30%

20%

10%

10,000 0% Jul-15 Jul-16 Oct-15 Apr-16 Oct-16 Apr-17 Jun-15 Jan-16 Jun-16 Jan-17 Mar-16 Mar-17 Feb-16 Feb-17 Aug-15 Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16 May-15 May-16 May-17

3.3.2 Category 1 cases

Table B-4 (page 22) provides a breakdown of Category 1 cases by within and over boundary status for the State, metropolitan and WACHS ESWLs from January 2015 to May 2017.

Figure 3 below shows Category 1 cases on ESWLs and the proportion (%) of those that were over boundary over the past two years.

Figure 3: Public hospital ESWL Category 1 WEST performance: proportion of Category 1 cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

All Category 1 cases on wait list % over boundary cases on wait list

1,400 100%

90% 1,200 80%

1,000 70%

60% 800 50% 600 40% % over % over boundary Cases Cases on ESWLs 400 30%

20% 200 10%

0 0% Jul-15 Jul-16 Oct-15 Apr-16 Oct-16 Apr-17 Jun-15 Jan-16 Jun-16 Jan-17 Feb-16 Mar-16 Feb-17 Mar-17 Nov-15 Dec-15 Nov-16 Dec-16 Aug-15 Sep-15 Aug-16 Sep-16 May-15 May-16 May-17 5

3.3.3 Category 2 cases

Table B-5 (page 23) provides a breakdown of Category 2 cases by within and over boundary status for the State, metropolitan and WACHS ESWLs from January 2015 to May 2017.

Figure 4 below shows Category 2 cases waiting and the proportion (%) of those that were over boundary over the past two years.

Figure 4: Public hospital ESWL Category 2 WEST performance: proportion of Category 2 cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

All Category 2 cases on wait list % over boundary cases on wait list 8,000 100%

90% 7,000 80% 6,000 70%

5,000 60%

4,000 50%

40% 3,000 % over % over boundary Cases Cases on ESWLs 30% 2,000 20% 1,000 10%

0 0% Jul-15 Jul-16 Oct-15 Apr-16 Oct-16 Apr-17 Jun-15 Jan-16 Jun-16 Jan-17 Feb-16 Mar-16 Feb-17 Mar-17 Nov-15 Dec-15 Nov-16 Dec-16 Aug-15 Sep-15 Aug-16 Sep-16 May-15 May-16 May-17

3.3.4 Category 3 cases

Table B-6 (page 24) provides a breakdown of Category 3 cases by within and over boundary status for the State, metropolitan and WACHS ESWLs from January 2015 to May 2017.

Figure 5 (page 7) shows Category 3 cases waiting and the proportion (%) of those that were over boundary over the past two years.

Figure 5: Public hospital ESWL Category 3 WEST performance: proportion of Category 3 cases on the wait list longer than the clinically recommended time, May 2015 - May 2017

All Category 3 cases on wait list % over boundary cases on wait list 15,000 100%

90% 12,500 80%

70% 10,000

60%

7,500 50%

40%

5,000 % over boundary Cases Cases on ESWLs 30%

20% 2,500 10%

0 0% Jul-15 Jul-16 Oct-15 Apr-16 Oct-16 Apr-17 Jun-15 Jan-16 Jun-16 Jan-17 Mar-16 Mar-17 Feb-16 Feb-17 Aug-15 Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16 May-15 May-16 May-17

4 Admissions from wait list 4.1 Number of cases

Table 3 below provides comparative data on the number of admissions from the statewide, metropolitan and WACHS public hospital ESWLs for the months of, and the 12 months to, May 2017, May 2016 and May 2015.

Table 3: Public hospital ESWL admissions for the months of, and the 12 months to, May 2017, May 2016 and May 2015

All admissions in Monthly admission last 12 months Cases (n) Cases (n) Metropolitan ESWLs May 2015 5,896 66,061 May 2016 6,444 70,100 May 2017 6,743 70,070 WACHS ESWLs May 2015 1,429 16,300 May 2016 1,568 16,669 May 2017 1,509 15,746 Statewide May 2015 7,325 82,361 May 2016 8,012 86,769 May 2017 8,252 85,816 7

Table 3 (page 7) shows that of the 8,252 admissions in May 2017, 6,743 (81.7%) were from the metropolitan ESWLs and 1,509 (18.3%) were from the WACHS ESWLs.

For the 12 months June 2016 to May 2017, there were 85,816 admissions from all ESWLs. This represents 953 (1.1%) fewer admissions than June 2015 to May 2016 and 3,455 (4.2%) more admissions than June 2014 to May 2015.

Figure 6 below shows admissions from all public hospital ESWLs over the past two years, noting a lower number of admissions in December, January and April due to seasonal variation/public holidays.

Figure 6: Public hospital ESWL admissions, May 2015 - May 2017

Admissions - State Admissions - Metro Admissions - WACHS

9,000

8,000

7,000

6,000

5,000

4,000

3,000 Admissions from ESWLs 2,000

1,000

0 Jul-15 Jul-16 Oct-15 Apr-16 Oct-16 Apr-17 Jun-15 Jan-16 Jun-16 Jan-17 Feb-16 Mar-16 Feb-17 Mar-17 Aug-15 Sep-15 Nov-15 Dec-15 Aug-16 Sep-16 Nov-16 Dec-16 May-15 May-16 May-17

Tables B-7 to B-9 (pages 25 to 27) show admissions by urgency category from January 2015 for all ESWLs, the metropolitan ESWLs and the WACHS ESWLs, respectively.

4.2 Indicator procedures

Of the 20,535 admissions for the March 2017 quarter, 7,273 (35.4%) were from 15 specified surgical indicator procedures. The remaining 13,262 (64.6%) were classified as 'other' procedures. Refer to the Notes section for further information. Appendix A provides admission volumes for these individual procedures by urgency category and within or over boundary status, as well as median waiting times.

Appendix A: Quarterly indicator procedure tables

Table A-1: Statewide summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 10 Table A-2: Metropolitan area summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 10 Table A-3: WACHS summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 11 Table A-4: Armadale Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 11 Table A-5: Bentley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 12 Table A-6: Fiona Stanley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 12 Table A-7: Fremantle Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 13 Table A-8: Joondalup Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 13 Table A-9: King Edward Memorial Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 14 Table A-10: Osborne Park Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 14 Table A-11: Peel Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 15 Table A-12: Princess Margaret Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 15 Table A-13: Rockingham General Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 16 Table A-14: Royal Perth Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 16 Table A-15: Sir Charles Gairdner Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 17 Table A-16: St John of God Midland Public Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary ...... 17

Table A-1: Statewide summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 46 311 2,152 2,509 56 44 289 2,120 2,453 97.8 Cholecystectomy 68 209 107 384 37 66 202 106 374 97.4 Coronary artery bypass graft 64 9 - 73 11 61 8 - 69 94.5 Cystoscopy 474 639 631 1,744 29 416 501 590 1,507 86.4 Haemorrhoidectomy 17 58 49 124 44 17 53 49 119 96.0 Hysterectomy 64 118 120 302 47 58 116 120 294 97.4 Inguinal herniorrhaphy 42 228 170 440 42 41 222 170 433 98.4 Myringoplasty * 16 43 59 154 * 9 41 50 85.5 Myringotomy 17 76 61 154 61 17 71 60 148 96.1 Prostatectomy 40 83 37 160 34 35 56 36 127 79.4 Septoplasty - 20 69 89 174 - 14 60 74 83.1 Tonsillectomy 7 143 266 416 166 7 125 234 366 88.0 Total hip replacement 6 104 203 313 84 6 85 196 287 91.7 Total knee replacement 5 94 345 444 100 * 78 336 414 94.1 Varicose veins stripping * * 55 55 141 * * 52 52 94.9 Uncoded/other/* 4,345 4,452 4,472 13,269 29 3,920 3,770 4,290 11,980 90.3 Total 5,195 6,560 8,780 20,535 36 4,688 5,599 8,460 18,747 91.3 - no cases; * data suppressed to protect confidentiality

Table A-2: Metropolitan area summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 38 272 1,713 2,023 49 36 250 1,681 1,967 97.2 Cholecystectomy 51 144 79 274 34 49 137 78 264 96.4 Coronary artery bypass graft 64 9 - 73 11 61 8 - 69 94.5 Cystoscopy 415 555 465 1,435 33 357 417 424 1,198 83.5 Haemorrhoidectomy 11 38 39 88 44 11 33 39 83 94.3 Hysterectomy 38 85 93 216 54 32 83 93 208 96.3 Inguinal herniorrhaphy 32 160 136 328 41 31 154 136 321 97.9 Myringoplasty * 14 25 39 188 * 7 23 30 77.5 Myringotomy 5 50 29 84 70 5 45 28 78 92.9 Prostatectomy 39 70 24 133 30 34 43 23 100 75.2 Septoplasty - 16 62 78 168 - 10 53 63 80.8 Tonsillectomy 7 128 238 373 167 7 110 208 325 87.1 Total hip replacement 6 97 142 245 75 6 78 140 224 91.4 Total knee replacement 5 89 281 375 89 * 73 273 346 93.3 Varicose veins stripping - * 49 49 162 - * 46 46 94.0 Uncoded/other/* 3,816 3,762 3,496 11,074 29 3,387 3,079 3,319 9,785 88.4 Total 4,527 5,489 6,871 16,887 36 4,021 4,528 6,564 15,113 89.5 - no cases; * data suppressed to protect confidentiality

Table A-3: WACHS summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 8 39 439 486 77 8 39 439 486 100.0 Cholecystectomy 17 65 28 110 50 17 65 28 110 100.0 Coronary artery bypass graft ------Cystoscopy 59 84 166 309 8 59 84 166 309 100.0 Haemorrhoidectomy 6 20 10 36 46 6 20 10 36 100.0 Hysterectomy 26 33 27 86 38 26 33 27 86 100.0 Inguinal herniorrhaphy 10 68 34 112 48 10 68 34 112 100.0 Myringoplasty * * 18 18 106 * * 18 18 100.0 Myringotomy 12 26 32 70 38 12 26 32 70 100.0 Prostatectomy * 13 13 26 61 * 13 13 26 100.0 Septoplasty - * 7 7 290 - * 7 7 100.0 Tonsillectomy - 15 28 43 89 - 15 26 41 95.3 Total hip replacement - 7 61 68 156 - 7 56 63 92.6 Total knee replacement - 5 64 69 157 - 5 63 68 98.6 Varicose veins stripping * * 6 6 33 * * 6 6 100.0 Uncoded/other/* 530 696 976 2,202 29 529 696 971 2,196 99.7 Total 668 1,071 1,909 3,648 38 667 1,071 1,896 3,634 99.6 - no cases; * data suppressed to protect confidentiality

Table A-4: Armadale Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy * 34 * 34 20 * 34 * 34 100.0 Coronary artery bypass graft ------Cystoscopy 10 18 33 61 29 10 17 33 60 98.4 Haemorrhoidectomy - * * * 37 - * * * 100.0 Hysterectomy - * 10 10 68 - * 10 10 100.0 Inguinal herniorrhaphy * 32 5 37 29 * 32 5 37 100.0 Myringoplasty - - * * 360 - - * * 100.0 Myringotomy - * 8 8 353 - * 8 8 100.0 Prostatectomy - * 6 6 83 - * 6 6 88.9 Septoplasty - - * * 357 - - * * 100.0 Tonsillectomy - - 26 26 359 - - 21 21 80.8 Total hip replacement - 9 19 28 69 - 9 19 28 100.0 Total knee replacement - 6 43 49 130 - * 43 43 95.9 Varicose veins stripping - - 12 12 224 - - 12 12 100.0 Uncoded/other/* 91 195 240 526 45 91 195 235 521 98.4 Total 101 294 402 797 50 101 287 392 780 97.9 - no cases; * data suppressed to protect confidentiality

Table A-5: Bentley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 18 79 658 755 109 17 77 645 739 97.9 Cholecystectomy * 12 * 12 34 * 10 * 10 88.2 Coronary artery bypass graft ------Cystoscopy ------Haemorrhoidectomy - 8 * 8 40 - 8 * 8 100.0 Hysterectomy - * - * 39 - * - * 100.0 Inguinal herniorrhaphy * 23 10 33 29 * 22 10 32 97.1 Myringoplasty - * - * 65 - * - * 100.0 Myringotomy - * - * 14 - * - * 100.0 Prostatectomy ------Septoplasty - 6 10 16 13 - 5 10 15 93.8 Tonsillectomy - * 5 5 34 - * 5 5 100.0 Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 36 118 174 328 35 28 107 169 304 92.2 Total 54 246 857 1,157 69 45 229 839 1,113 96.2 - no cases, * data suppressed to protect confidentiality

Table A-6: Fiona Stanley Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy 5 * - 5 20 * * - * 77.8 Coronary artery bypass graft 34 8 - 42 13 32 7 - 39 92.9 Cystoscopy 118 47 29 194 30 94 17 9 120 61.9 Haemorrhoidectomy ------Hysterectomy ------Inguinal herniorrhaphy * * - * 116 - - - - 0.0 Myringoplasty - 5 - 5 99 - * - * 40.0 Myringotomy - 6 - 6 111 - * - * 33.3 Prostatectomy 5 5 * 10 102 * - - * 27.3 Septoplasty ------Tonsillectomy - 10 * 10 279 - * * * 16.7 Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 728 461 127 1,316 23 593 239 103 935 70.3 Total 890 542 156 1,588 25 719 263 112 1,094 68.9 - no cases, * data suppressed to protect confidentiality

Table A-7: Fremantle Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction 11 84 61 156 49 11 83 61 155 99.4 Cholecystectomy 11 13 * 24 36 10 11 * 21 88.9 Coronary artery bypass graft ------Cystoscopy ------Haemorrhoidectomy ------Hysterectomy * 5 * 5 74 - 5 * 5 87.5 Inguinal herniorrhaphy - 9 14 23 80 - 9 14 23 100.0 Myringoplasty - * * * 312 - - - - 0.0 Myringotomy ------Prostatectomy ------Septoplasty - * * * 450 - - - - 0.0 Tonsillectomy - * 21 21 398 - - 8 8 33.3 Total hip replacement * 22 18 40 84 * 18 18 36 90.2 Total knee replacement * 27 32 59 78 * 21 32 53 88.7 Varicose veins stripping ------Uncoded/other/* 180 285 277 742 66 140 199 262 601 82.2 Total 202 445 423 1,070 67 161 346 395 902 84.3 - no cases, * data suppressed to protect confidentiality

Table A-8: Joondalup Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction - - 140 140 151 - - 140 140 100.0 Cholecystectomy - 14 12 26 26 - 14 12 26 100.0 Coronary artery bypass graft ------Cystoscopy 27 37 105 169 14 27 37 105 169 100.0 Haemorrhoidectomy - 12 7 19 45 - 12 7 19 100.0 Hysterectomy * 6 20 26 24 * 6 20 26 100.0 Inguinal herniorrhaphy * 28 27 55 25 * 28 27 55 100.0 Myringoplasty - - * * 233 - - * * 100.0 Myringotomy * * * * 39 * * * * 83.3 Prostatectomy 6 8 8 22 26 6 7 8 21 95.5 Septoplasty - - 13 13 324 - - 13 13 100.0 Tonsillectomy * - 24 24 292 * - 22 22 92.0 Total hip replacement * 9 13 22 63 * 9 12 21 95.7 Total knee replacement - * 26 26 79 - * 25 25 96.7 Varicose veins stripping - - 14 14 14 - - 14 14 100.0 Uncoded/other/* 118 220 692 1,030 28 118 219 653 990 96.2 Total 151 334 1,101 1,586 28 151 332 1,058 1,541 97.2 - no cases, * data suppressed to protect confidentiality

Table A-9: King Edward Memorial Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy ------Coronary artery bypass graft ------Cystoscopy 7 5 6 18 4 7 5 6 18 100.0 Haemorrhoidectomy ------Hysterectomy 31 38 30 99 35 30 37 30 97 98.0 Inguinal herniorrhaphy ------Myringoplasty ------Myringotomy ------Prostatectomy ------Septoplasty ------Tonsillectomy ------Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 199 224 148 571 27 199 220 148 567 99.3 Total 237 267 184 688 28 236 262 184 682 99.1 - no cases, * data suppressed to protect confidentiality

Table A-10: Osborne Park Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction - 13 352 365 16 - 13 352 365 100.0 Cholecystectomy - 8 13 21 85 - 8 13 21 100.0 Coronary artery bypass graft ------Cystoscopy 41 95 48 184 52 40 67 48 155 84.2 Haemorrhoidectomy * * 13 13 86 * * 13 13 100.0 Hysterectomy - * 9 9 97 - * 9 9 100.0 Inguinal herniorrhaphy * 18 15 33 56 * 18 15 33 100.0 Myringoplasty - - 5 5 159 - - 5 5 100.0 Myringotomy - - * * 141 - - * * 100.0 Prostatectomy * 6 * 6 44 * 6 * 6 100.0 Septoplasty - * 9 9 139 - * 9 9 100.0 Tonsillectomy - * 16 16 83 - * 16 16 94.7 Total hip replacement - 8 22 30 77 - 7 22 29 96.7 Total knee replacement * 9 38 47 84 * 9 38 47 100.0 Varicose veins stripping - - 8 8 326 - - 7 7 87.5 Uncoded/other/* 55 240 256 551 56 46 221 249 516 93.6 Total 96 397 804 1,297 43 86 349 796 1,231 94.9 - no cases, * data suppressed to protect confidentiality

Table A-11: Peel Health Campus summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 28 176 204 112 * 28 176 204 99.5 Cholecystectomy * 7 8 15 21 * 7 8 15 100.0 Coronary artery bypass graft ------Cystoscopy 8 33 112 153 23 8 33 112 153 100.0 Haemorrhoidectomy * - * * 20 * - * * 100.0 Hysterectomy * 7 10 17 44 - 7 10 17 85.0 Inguinal herniorrhaphy * * 9 9 14 * * 9 9 100.0 Myringoplasty - - * * 234 - - * * 100.0 Myringotomy ------Prostatectomy 8 13 * 21 18 8 12 * 20 95.7 Septoplasty - * 8 8 93 - - 7 7 77.8 Tonsillectomy - * 7 7 157 - * 7 7 100.0 Total hip replacement - 6 11 17 35 - 5 11 16 94.1 Total knee replacement - 13 28 41 66 - 13 28 41 100.0 Varicose veins stripping - - * * 150 - - * * 100.0 Uncoded/other/* 256 154 264 674 14 230 149 263 642 95.8 Total 272 261 633 1,166 24 246 254 631 1,131 97.0 - no cases, * data suppressed to protect confidentiality

Table A-12: Princess Margaret Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction - * * * 56 - * * * 100.0 Cholecystectomy ------Coronary artery bypass graft ------Cystoscopy * 22 15 37 80 * 22 15 37 100.0 Haemorrhoidectomy * * * * 36 * * * * 100.0 Hysterectomy ------Inguinal herniorrhaphy 15 6 * 21 23 15 6 * 21 100.0 Myringoplasty - * 7 7 277 - * 7 7 100.0 Myringotomy * 33 7 40 62 * 33 7 40 100.0 Prostatectomy ------Septoplasty - * - * 87 - * - * 100.0 Tonsillectomy * 98 90 188 85 * 98 90 188 100.0 Total hip replacement ------Total knee replacement ------Varicose veins stripping ------Uncoded/other/* 295 501 383 1,179 36 295 500 383 1,178 99.9 Total 310 660 502 1,472 50 310 659 502 1,471 99.9 - no cases, * data suppressed to protect confidentiality

Table A-13: Rockingham General Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction ------Cholecystectomy 13 15 13 41 44 13 15 13 41 100.0 Coronary artery bypass graft ------Cystoscopy 60 39 34 133 87 60 8 18 86 64.7 Haemorrhoidectomy * * 5 5 35 * * 5 5 100.0 Hysterectomy * 12 6 18 42 * 11 6 17 94.7 Inguinal herniorrhaphy * 15 21 36 81 * 14 21 35 97.5 Myringoplasty - - * * 397 - - - - 0.0 Myringotomy - * - * 90 - * - * 50.0 Prostatectomy 7 10 * 17 98 7 - * 7 44.4 Septoplasty ------Tonsillectomy - 5 8 13 405 - - - - 0.0 Total hip replacement * * 9 9 130 * * 9 9 100.0 Total knee replacement - * 22 22 189 - * 22 22 100.0 Varicose veins stripping - - * * 141 - - * * 100.0 Uncoded/other/* 144 161 204 509 65 144 126 184 454 89.1 Total 224 257 322 803 71 224 174 278 676 84.2 - no cases, * data suppressed to protect confidentiality

Table A-14: Royal Perth Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 26 27 53 165 * 9 8 17 34.5 Cholecystectomy 6 12 6 24 42 6 11 6 23 95.8 Coronary artery bypass graft ------Cystoscopy 78 108 63 249 56 50 68 58 176 70.7 Haemorrhoidectomy - 5 * 5 176 - * * * 33.3 Hysterectomy ------Inguinal herniorrhaphy * 6 * 6 52 * * * * 66.7 Myringoplasty - * * * 194 - - * * 66.7 Myringotomy * * - * 22 * * - * 100.0 Prostatectomy * 12 * 12 209 * * * * 41.2 Septoplasty - * 6 6 452 - - - - 0.0 Tonsillectomy * * 7 7 101 * * 6 6 90.0 Total hip replacement * 15 12 27 117 * 7 11 18 69.0 Total knee replacement * 12 31 43 181 * 8 24 32 75.0 Varicose veins stripping - - * * 154 - - * * 100.0 Uncoded/other/* 902 598 194 1,694 24 733 402 146 1,281 75.0 Total 986 794 346 2,126 34 789 505 259 1,553 73.0 - no cases, * data suppressed to protect confidentiality

Table A-15: Sir Charles Gairdner Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 15 93 108 63 * 13 93 106 98.2 Cholecystectomy 6 11 5 22 22 6 10 * 16 90.9 Coronary artery bypass graft 30 * - 30 10 29 * - 29 96.8 Cystoscopy 53 48 15 116 36 48 42 15 105 90.5 Haemorrhoidectomy - * - * 130 - - - - 0.0 Hysterectomy ------Inguinal herniorrhaphy - 6 * 6 57 - 6 * 6 100.0 Myringoplasty * * * * 78 * * * * 80.0 Myringotomy ------Prostatectomy 6 5 * 11 32 5 * * 5 83.3 Septoplasty - - 5 5 127 - - 5 5 100.0 Tonsillectomy * * 7 7 106 * * 7 7 100.0 Total hip replacement * 26 16 42 74 * 21 16 37 88.4 Total knee replacement - 12 31 43 145 - 8 31 39 90.7 Varicose veins stripping - - 6 6 337 - - 5 5 83.3 Uncoded/other/* 815 546 410 1,771 20 777 458 394 1,629 91.6 Total 910 669 588 2,167 24 865 558 566 1,989 91.8 - no cases, * data suppressed to protect confidentiality

Table A-16: St John of God Midland Public Hospital summary by indicator procedure, March 2017 quarter, admissions - total and within boundary Procedure Admissions in quarter Within boundary Cat 1 Cat 2 Cat 3 Total Median Cat 1 Cat 2 Cat 3 Total % wait of time Total (days) Cataract extraction * 24 205 229 13 * 24 205 229 100.0 Cholecystectomy * 14 15 29 56 * 14 15 29 100.0 Coronary artery bypass graft ------Cystoscopy 9 103 5 117 15 9 101 5 115 98.3 Haemorrhoidectomy * - * * 27 * - * * 100.0 Hysterectomy * 9 6 15 86 - 9 6 15 93.8 Inguinal herniorrhaphy * 15 27 42 52 * 15 27 42 100.0 Myringoplasty - - * * 187 - - * * 100.0 Myringotomy - * 10 10 138 - * 10 10 100.0 Prostatectomy * 8 - 8 8 * 8 - 8 100.0 Septoplasty - * 6 6 181 - * 6 6 100.0 Tonsillectomy - * 25 25 184 - * 25 25 100.0 Total hip replacement - * 22 22 47 - * 22 22 100.0 Total knee replacement - * 30 30 47 - * 30 30 100.0 Varicose veins stripping - * 5 5 57 - * * * 83.3 Uncoded/other/* 85 150 197 432 30 79 139 201 419 96.1 Total 94 323 553 970 24 88 310 552 950 97.9 - no cases, * data suppressed to protect confidentiality.

Appendix B: Monthly tables

Table B-1: Public hospital ESWL cases waiting and waiting times, January 2015 - May 2017 ...... 19 Table B-2: Metropolitan ESWL cases waiting and waiting times, January 2015 - May 2017 ...... 20 Table B-3: WACHS ESWL cases waiting and waiting times, January 2015 - May 2017 ...... 21 Table B-4: Public hospital ESWL Category 1 cases within and over boundary, January 2015 - May 2017 ...... 22 Table B-5: Public hospital ESWL Category 2 cases within and over boundary, January 2015 - May 2017 ...... 23 Table B-6: Public hospital ESWL Category 3 cases within and over boundary, January 2015 - May 2017 ...... 24 Table B-7: Public hospital ESWL admissions by urgency category, January 2015 - May 2017 ...... 25 Table B-8: Metropolitan ESWL admissions by urgency category, January 2015 - May 2017 ...... 26 Table B-9: WACHS ESWL admissions by urgency category, January 2015 - May 2017 ..... 27 Table B-10: WEST performance: proportion (%) of cases on the wait list longer than the clinically recommended time at the end of the month, by Category, May 2017 ...... 28

Table B-1: Public hospital ESWL cases waiting and waiting times, January 2015 - May 2017

Cases on ESWLs at end of month Within boundary Over boundary Total Waiting Waiting time Cases time Cases Waiting time Cases Median Median Median 90th percentile Days n % Days n % Days Days n 2015

Jan 71 16,552 93.2 136 1,213 6.8 75 247 17,765

Feb 71 16,898 92.7 141 1,328 7.3 75 240 18,226

Mar 56 16,663 92.6 144 1,335 7.4 63 244 17,998

Apr 62 16,821 91.9 163 1,485 8.1 69 248 18,306

May 62 16,668 92.4 173 1,363 7.6 69 249 18,031

Jun 56 16,995 93.0 180 1,287 7.0 62 251 18,282

Jul 58 16,559 93.6 161 1,133 6.4 65 251 17,692

Aug 59 16,578 94.4 157 991 5.6 63 237 17,569

Sep 53 16,375 94.8 153 895 5.2 57 231 17,270

Oct 56 16,249 95.7 149 724 4.3 59 229 16,973

Nov 54 16,327 95.1 152 842 4.9 59 228 17,169

Dec 59 16,816 94.4 142 1,000 5.6 63 232 17,816

2016

Jan 68 17,168 93.3 139 1,227 6.7 73 237 18,395

Feb 70 17,113 93.4 143 1,204 6.6 76 242 18,317

Mar 56 17,314 93.7 153 1,166 6.3 62 234 18,480

Apr 60 17,499 94.3 158 1,063 5.7 65 241 18,562

May 61 17,781 94.2 152 1,097 5.8 68 244 18,878

Jun 59 18,639 93.8 150 1,235 6.2 64 247 19,874

Jul 65 18,416 93.3 160 1,312 6.7 69 255 19,728

Aug 66 17,943 92.8 175 1,387 7.2 72 264 19,330

Sep 64 18,033 92.3 178 1,494 7.7 71 252 19,527

Oct 65 18,271 92.3 182 1,527 7.7 73 252 19,798

Nov 59 18,177 93.3 194 1,315 6.7 68 253 19,492

Dec 67 18,110 93.3 178 1,301 6.7 73 260 19,411

2017

Jan 76 18,479 92.7 175 1,460 7.3 82 265 19,939 Feb 76 18,468 93.4 168 1,306 6.6 82 263 19,774 Mar 59 18,690 93.8 157 1,242 6.2 67 252 19,932 Apr 65 18,762 93.6 157 1,276 6.4 68 255 20,038 May 62 19,504 95.0 181 1,033 5.0 65 249 20,537 Jun Jul Aug Sep Oct Nov Dec

Table B-2: Metropolitan ESWL cases waiting and waiting times, January 2015 - May 2017

Cases on ESWLs at end of month Within boundary Over boundary Total Waiting Waiting time Cases time Cases Waiting time Cases Median Median Median 90th percentile Days n % Days n % Days Days n 2015

Jan 68 13,033 91.5 136 1,204 8.5 75 243 14,237

Feb 71 13,368 91.1 139 1,312 8.9 75 237 14,680

Mar 57 12,936 90.8 140 1,310 9.2 68 243 14,246

Apr 62 13,200 90.0 162 1,461 10.0 70 246 14,661

May 62 13,063 90.8 171 1,326 9.2 72 248 14,389

Jun 56 13,279 91.5 173 1,240 8.5 63 251 14,519

Jul 58 12,949 92.2 158 1,102 7.8 66 253 14,051

Aug 59 13,005 93.0 154 975 7.0 63 245 13,980

Sep 51 12,972 93.7 148 875 6.3 57 233 13,847

Oct 57 12,796 94.8 148 709 5.2 60 232 13,505

Nov 53 12,939 94.0 151 823 6.0 60 229 13,762

Dec 58 13,312 93.1 141 989 6.9 64 233 14,301

2016

Jan 67 13,606 91.8 139 1,214 8.2 73 240 14,820

Feb 70 13,461 91.9 140 1,187 8.1 77 243 14,648

Mar 56 13,865 92.4 149 1,143 7.6 63 234 15,008

Apr 60 13,974 93.0 157 1,046 7.0 65 241 15,020

May 62 14,212 93.0 147 1,076 7.0 70 247 15,288

Jun 60 14,853 92.5 149 1,212 7.5 69 248 16,065

Jul 66 14,604 91.9 159 1,295 8.1 73 261 15,899

Aug 68 14,259 91.4 173 1,334 8.6 76 267 15,593

Sep 65 14,307 90.7 177 1,463 9.3 74 259 15,770

Oct 66 14,416 90.6 181 1,503 9.4 74 258 15,919

Nov 60 14,402 91.7 190 1,302 8.3 69 260 15,704

Dec 66 14,401 91.8 178 1,294 8.2 73 268 15,695

2017

Jan 75 14,435 90.9 173 1,447 9.1 82 271 15,882 Feb 75 14,435 91.8 167 1,291 8.2 82 270 15,726 Mar 58 14,687 92.3 156 1,229 7.7 68 254 15,916 Apr 62 14,775 92.2 156 1,249 7.8 67 255 16,024 May 61 15,426 93.9 175 1,008 6.1 65 250 16,434 Jun Jul Aug Sep Oct Nov Dec

Table B-3: WACHS ESWL cases waiting and waiting times, January 2015 - May 2017

Cases on ESWLs at end of month Within boundary Over boundary Total Waiting Waiting time Cases time Cases Waiting time Cases Median Median Median 90th percentile Days n % Days n % Days Days n 2015

Jan 74 3,519 99.7 366 9 0.3 74 255 3,528

Feb 71 3,530 99.5 373 16 0.5 71 245 3,546

Mar 54 3,727 99.3 397 25 0.7 54 250 3,752

Apr 64 3,621 99.3 413 24 0.7 64 258 3,645

May 65 3,605 99.0 377 37 1.0 66 251 3,642

Jun 56 3,716 98.8 385 47 1.2 56 249 3,763

Jul 57 3,610 99.1 385 31 0.9 57 241 3,641

Aug 61 3,573 99.6 432 16 0.4 61 221 3,589

Sep 55 3,403 99.4 385 20 0.6 56 220 3,423

Oct 53 3,453 99.6 400 15 0.4 54 220 3,468

Nov 54 3,388 99.4 371 19 0.6 54 215 3,407

Dec 63 3,504 99.7 388 11 0.3 63 226 3,515

2016

Jan 74 3,562 99.6 382 13 0.4 74 235 3,575

Feb 73 3,652 99.5 371 17 0.5 73 229 3,669

Mar 55 3,449 99.3 383 23 0.7 56 232 3,472

Apr 61 3,525 99.5 396 17 0.5 64 242 3,542

May 55 3,569 99.4 382 21 0.6 55 237 3,590

Jun 55 3,786 99.4 393 23 0.6 55 233 3,809

Jul 60 3,812 99.6 376 17 0.4 60 234 3,829

Aug 63 3,684 98.6 366 53 1.4 64 226 3,737

Sep 60 3,726 99.2 394 31 0.8 60 220 3,757

Oct 61 3,855 99.4 372 24 0.6 62 225 3,879

Nov 58 3,775 99.7 391 13 0.3 58 215 3,788

Dec 73 3,709 99.8 386 7 0.2 73 229 3,716

2017

Jan 78 4,044 99.7 370 13 0.3 81 237 4,057 Feb 82 4,033 99.6 371 15 0.4 82 243 4,048 Mar 66 4,003 99.7 394 13 0.3 66 242 4,016 Apr 71 3,987 99.3 386 27 0.7 72 256 4,014 May 65 4,078 99.4 383 25 0.6 68 240 4,103 Jun Jul Aug Sep Oct Nov Dec

Table B-4: Public hospital ESWL Category 1 cases within and over boundary, January 2015 - May 2017

Metropolitan WACHS State Within 30 Within 30 Within 30 days > 30 days Total days > 30 days Total days > 30 days Total n % n n % n n % n % 2015

Jan 618 93.6 42 660 84 98.8 1 85 702 94.2 43 5.8 745 Feb 693 95.6 32 725 75 100.0 - 75 768 96.0 32 4.0 800 Mar 728 87.5 104 832 81 100.0 - 81 809 88.6 104 11.4 913 Apr 735 87.6 104 839 91 100.0 - 91 826 88.8 104 11.2 930 May 748 91.3 71 819 62 96.9 2 64 810 91.7 73 8.3 883 Jun 839 92.8 65 904 87 97.8 2 89 926 93.3 67 6.7 993 Jul 681 90.6 71 752 106 99.1 1 107 787 91.6 72 8.4 859 Aug 778 92.0 68 846 83 98.8 1 84 861 92.6 69 7.4 930 Sep 782 92.4 64 846 90 100.0 - 90 872 93.2 64 6.8 936 Oct 787 91.0 78 865 96 100.0 - 96 883 91.9 78 8.1 961 Nov 844 91.0 83 927 88 97.8 2 90 932 91.6 85 8.4 1,017 Dec 590 81.7 132 722 63 98.4 1 64 653 83.1 133 16.9 786 2016 Jan 668 84.9 119 787 76 98.7 1 77 744 86.1 120 13.9 864 Feb 763 87.2 112 875 82 100.0 - 82 845 88.3 112 11.7 957 Mar 706 82.0 155 861 76 98.7 1 77 782 83.4 156 16.6 938 Apr 801 83.3 161 962 64 98.5 1 65 865 84.2 162 15.8 1,027 May 828 83.3 166 994 91 100.0 - 91 919 84.7 166 15.3 1,085 Jun 838 80.4 204 1042 134 100.0 - 134 972 82.7 204 17.3 1,176 Jul 818 77.6 236 1054 112 100.0 - 112 930 79.8 236 20.2 1,166 Aug 814 80.9 192 1006 95 99.0 1 96 909 82.5 193 17.5 1,102 Sep 725 78.1 203 928 86 98.9 1 87 811 79.9 204 20.1 1,015 Oct 768 81.5 174 942 117 96.7 4 121 885 83.3 178 16.7 1,063 Nov 803 85.8 133 936 140 99.3 1 141 943 87.6 134 12.4 1,077 Dec 496 80.3 122 618 41 100.0 - 41 537 81.5 122 18.5 659 2017 Jan 659 84.2 124 783 114 100.0 - 114 773 86.2 124 13.8 897 Feb 865 90.7 89 954 114 100.0 - 114 979 91.7 89 8.3 1,068 Mar 847 87.2 124 971 97 100.0 - 97 944 88.4 124 11.6 1,068 Apr 733 77.7 210 943 128 99.2 1 129 861 80.3 211 19.7 1,072 May 905 90.3 97 1002 110 100.0 - 110 1,015 91.3 97 8.7 1,112 Jun Jul Aug Sep Oct Nov Dec - no cases

Table B-5: Public hospital ESWL Category 2 cases within and over boundary, January 2015 - May 2017

Metropolitan WACHS State Within 90 > 90 Within 90 > 90 Within 90 days days Total days days Total days > 90 days Total n % n n % n n % n %

2015

Jan 3,484 78.4 959 4,443 549 99.5 3 552 4,033 80.7 962 19.3 4,995 Feb 3,577 77.1 1,061 4,638 580 100.0 - 580 4,157 79.7 1,061 20.3 5,218 Mar 3,224 77.2 953 4,177 663 99.8 1 664 3,887 80.3 954 19.7 4,841 Apr 3,330 75.6 1,074 4,404 622 100.0 - 622 3,952 78.6 1,074 21.4 5,026 May 3,408 77.4 994 4,402 632 99.5 3 635 4,040 80.2 997 19.8 5,037 Jun 3,604 79.8 914 4,518 695 99.6 3 698 4,299 82.4 917 17.6 5,216 Jul 3,479 81.2 806 4,285 736 99.5 4 740 4,215 83.9 810 16.1 5,025 Aug 3,621 83.4 723 4,344 687 100.0 - 687 4,308 85.6 723 14.4 5,031 Sep 3,627 85.0 641 4,268 686 100.0 - 686 4,313 87.1 641 12.9 4,954 Oct 3,627 88.6 467 4,094 680 100.0 - 680 4,307 90.2 467 9.8 4,774 Nov 3,374 86.1 546 3,920 655 99.4 4 659 4,029 88.0 550 12.0 4,579 Dec 3,663 85.2 637 4,300 619 99.7 2 621 4,282 87.0 639 13.0 4,921

2016 Jan 3,560 80.6 856 4,416 568 99.5 3 571 4,128 82.8 859 17.2 4,987 Feb 3,379 80.3 831 4,210 633 99.5 3 636 4,012 82.8 834 17.2 4,846 Mar 3,496 82.1 761 4,257 619 100.0 - 619 4,115 84.4 761 15.6 4,876 Apr 3,481 83.5 688 4,169 624 100.0 - 624 4,105 85.6 688 14.4 4,793 May 3,352 82.4 715 4,067 673 99.4 4 677 4,025 84.8 719 15.2 4,744 Jun 3,424 81.7 766 4,190 748 99.9 1 749 4,172 84.5 767 15.5 4,939 Jul 3,391 81.0 796 4,187 764 99.9 1 765 4,155 83.9 797 16.1 4,952 Aug 3,315 79.7 846 4,161 664 98.4 11 675 3,979 82.3 857 17.7 4,836 Sep 3,395 78.9 909 4,304 675 98.3 12 687 4,070 81.5 921 18.5 4,991 Oct 3,377 78.3 937 4,314 650 99.4 4 654 4,027 81.1 941 18.9 4,968 Nov 3,296 80.6 794 4,090 581 100.0 - 581 3,877 83.0 794 17.0 4,671 Dec 3,374 80.7 809 4,183 516 100.0 - 516 3,890 82.8 809 17.2 4,699

2017 Jan 3,210 77.6 928 4,138 566 99.5 3 569 3,776 80.2 931 19.8 4,707 Feb 3,157 78.7 854 4,011 579 99.7 2 581 3,736 81.4 856 18.6 4,592 Mar 3,358 80.8 800 4,158 639 99.8 1 640 3,997 83.3 801 16.7 4,798 Apr 3,557 83.5 705 4,262 599 99.7 2 601 4,156 85.5 707 14.5 4,863 May 3,624 85.7 603 4,227 631 99.8 1 632 4,255 87.6 604 12.4 4,859 Jun Jul Aug Sep Oct Nov Dec - no cases

Table B-6: Public hospital ESWL Category 3 cases within and over boundary, January 2015 - May 2017

Metropolitan WACHS State Within 365 > 365 Within 365 > 365 Within 365 days days Total days days Total days > 365 days Total n % n n % n n % n %

2015

Jan 8,931 97.8 203 9,134 2,886 99.8 5 2,891 11,817 98.3 208 1.7 12,025 Feb 9,098 97.6 219 9,317 2,875 99.4 16 2,891 11,973 98.1 235 1.9 12,208 Mar 8,984 97.3 253 9,237 2,983 99.2 24 3,007 11,967 97.7 277 2.3 12,244 Apr 9,135 97.0 283 9,418 2,908 99.2 24 2,932 12,043 97.5 307 2.5 12,350 May 8,907 97.2 261 9,168 2,911 98.9 32 2,943 11,818 97.6 293 2.4 12,111 Jun 8,836 97.1 261 9,097 2,934 98.6 42 2,976 11,770 97.5 303 2.5 12,073 Jul 8,789 97.5 225 9,014 2,768 99.1 26 2,794 11,557 97.9 251 2.1 11,808 Aug 8,606 97.9 184 8,790 2,803 99.5 15 2,818 11,409 98.3 199 1.7 11,608 Sep 8,563 98.1 170 8,733 2,627 99.2 20 2,647 11,190 98.3 190 1.7 11,380 Oct 8,382 98.1 164 8,546 2,677 99.4 15 2,692 11,059 98.4 179 1.6 11,238 Nov 8,721 97.8 194 8,915 2,645 99.5 13 2,658 11,366 98.2 207 1.8 11,573 Dec 9,059 97.6 220 9,279 2,822 99.7 8 2,830 11,881 98.1 228 1.9 12,109

2016 Jan 9,378 97.5 239 9,617 2,918 99.7 9 2,927 12,296 98.0 248 2.0 12,544 Feb 9,319 97.4 244 9,563 2,937 99.5 14 2,951 12,256 97.9 258 2.1 12,514 Mar 9,663 97.7 227 9,890 2,754 99.2 22 2,776 12,417 98.0 249 2.0 12,666 Apr 9,692 98.0 197 9,889 2,837 99.4 16 2,853 12,529 98.3 213 1.7 12,742 May 10,032 98.1 195 10,227 2,805 99.4 17 2,822 12,837 98.4 212 1.6 13,049 Jun 10,591 97.8 242 10,833 2,904 99.2 22 2,926 13,495 98.1 264 1.9 13,759 Jul 10,395 97.5 263 10,658 2,936 99.5 16 2,952 13,331 98.0 279 2.0 13,610 Aug 10,130 97.2 296 10,426 2,925 98.6 41 2,966 13,055 97.5 337 2.5 13,392 Sep 10,187 96.7 351 10,538 2,965 99.4 18 2,983 13,152 97.3 369 2.7 13,521 Oct 10,271 96.3 392 10,663 3,088 99.5 16 3,104 13,359 97.0 408 3.0 13,767 Nov 10,303 96.5 375 10,678 3,054 99.6 12 3,066 13,357 97.2 387 2.8 13,744 Dec 10,531 96.7 363 10,894 3,152 99.8 7 3,159 13,683 97.4 370 2.6 14,053

2017 Jan 10,566 96.4 395 10,961 3,364 99.7 10 3,374 13,930 97.2 405 2.8 14,335 Feb 10,413 96.8 348 10,761 3,340 99.6 13 3,353 13,753 97.4 361 2.6 14,114 Mar 10,482 97.2 305 10,787 3,267 99.6 12 3,279 13,749 97.7 317 2.3 14,066 Apr 10,485 96.9 334 10,819 3,260 99.3 24 3,284 13,745 97.5 358 2.5 14,103 May 10,897 97.3 308 11,205 3,337 99.3 24 3,361 14,234 97.7 332 2.3 14,566 Jun Jul Aug Sep Oct Nov Dec

Table B-7: Public hospital ESWL admissions by urgency category, January 2015 - May 2017

Urgency category Total 1 2 3 2015

Jan 1,210 1,592 1,941 4,743 Feb 1,605 2,230 2,745 6,580 Mar 1,749 2,535 3,040 7,324 Apr 1,512 2,097 2,391 6,000 May 1,817 2,458 3,050 7,325 Jun 1,784 2,494 3,163 7,441 Jul 1,932 2,686 3,251 7,869 Aug 1,714 2,621 3,293 7,628 Sep 1,838 2,665 3,046 7,549 Oct 1,748 2,740 3,228 7,716 Nov 1,848 2,665 3,107 7,620 Dec 1,665 2,054 2,315 6,034 2016 Jan 1,281 2,087 2,110 5,478 Feb 1,723 2,711 3,184 7,618 Mar 1,750 2,496 2,939 7,185 Apr 1,668 2,302 2,649 6,619 May 1,950 2,626 3,436 8,012 Jun 1,928 2,382 2,832 7,142 Jul 1,780 2,204 2,968 6,952 Aug 2,010 2,418 3,396 7,824 Sep 1,776 2,144 2,994 6,914 Oct 1,767 2,181 3,196 7,144 Nov 1,957 2,550 3,483 7,990 Dec 1,831 1,907 2,722 6,460 2017 Jan 1,353 1,816 2,152 5,321 Feb 1,780 2,342 3,180 7,302 Mar 2,062 2,402 3,448 7,912 Apr 1,690 2,031 2,882 6,603 May 2,162 2,632 3,458 8,252 Jun Jul Aug Sep Oct Nov Dec

Table B-8: Metropolitan ESWL admissions by urgency category, January 2015 - May 2017

Urgency category Total 1 2 3 2015

Jan 1,080 1,247 1,494 3,821 Feb 1,393 1,853 1,923 5,169 Mar 1,541 2,156 2,302 5,999 Apr 1,323 1,689 1,721 4,733 May 1,557 2,038 2,301 5,896 Jun 1,565 2,095 2,304 5,964 Jul 1,710 2,236 2,417 6,363 Aug 1,481 2,190 2,505 6,176 Sep 1,630 2,209 2,248 6,087 Oct 1,534 2,267 2,414 6,215 Nov 1,622 2,244 2,329 6,195 Dec 1,480 1,684 1,770 4,934 2016 Jan 1,129 1,770 1,657 4,556 Feb 1,500 2,321 2,315 6,136 Mar 1,558 2,075 2,094 5,727 Apr 1,458 1,851 1,994 5,303 May 1,712 2,159 2,573 6,444 Jun 1,667 1,910 2,152 5,729 Jul 1,547 1,791 2,344 5,682 Aug 1,707 2,002 2,597 6,306 Sep 1,522 1,799 2,263 5,584 Oct 1,516 1,804 2,475 5,795 Nov 1,664 2,142 2,658 6,464 Dec 1,577 1,651 2,169 5,397 2017 Jan 1,215 1,532 1,796 4,543 Feb 1,519 1,961 2,485 5,965 Mar 1,793 1,996 2,590 6,379 Apr 1,486 1,730 2,267 5,483 May 1,884 2,258 2,601 6,743 Jun Jul Aug Sep Oct Nov Dec

Table B-9: WACHS ESWL admissions by urgency category, January 2015 - May 2017

Urgency category Total 1 2 3 2015

Jan 130 345 447 922 Feb 212 377 822 1,411 Mar 208 379 738 1,325 Apr 189 408 670 1,267 May 260 420 749 1,429 Jun 219 399 859 1,477 Jul 222 450 834 1,506 Aug 233 431 788 1,452 Sep 208 456 798 1,462 Oct 214 473 814 1,501 Nov 226 421 778 1,425 Dec 185 370 545 1,100 2016 Jan 152 317 453 922 Feb 223 390 869 1,482 Mar 192 421 845 1,458 Apr 210 451 655 1,316 May 238 467 863 1,568 Jun 261 472 680 1,413 Jul 233 413 624 1,270 Aug 303 416 799 1,518 Sep 254 345 731 1,330 Oct 251 377 721 1,349 Nov 293 408 825 1,526 Dec 254 256 553 1,063 2017 Jan 138 284 356 778 Feb 261 381 695 1,337 Mar 269 406 858 1,533 Apr 204 301 615 1,120 May 278 374 857 1,509 Jun Jul Aug Sep Oct Nov Dec

Table B-10: WEST performance: proportion (%) of cases on the wait list longer than the clinically recommended time at the end of the month, by Category, May 2017

Category 1 Category 2 Category 3 Overall 2017

Jan 13.8% 19.8% 2.8% 7.3% Feb 8.3% 18.6% 2.6% 6.6% Mar 11.6% 16.7% 2.3% 6.2% Apr 19.7% 14.5% 2.5% 6.4% May 8.7% 12.4% 2.3% 5.0% Jun Jul Aug Sep Oct Nov Dec 2017 Target 0.0% 0.0% 0.0% 0.0%

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